Repetitive transcranial magnetic stimulation (rTMS)

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What is it for?

Treatment to reset the overactive pain centres in the brain to normal

Treatment overview

Repetitive transcranial magnetic stimulation (rTMS) is a non-invasive method of stimulating nerves / tissue in the brain using magnetic fields. The stimulation can target areas of the brain which have been shown to have altered activity, and help restore these areas back to a healthy function. It has been proven to be a safe and effective form of neuromodulation for fibromyalgia.

The London Clinic is the only centre in the UK to use rTMS in the treatment of chronic pain, and is a leading centre for this innovative treatment.

Conditions rTMS treats:

Fibromyalgia is a chronic condition which affects up to 5% of the world population and causes widespread, chronic pain, fatigue, brain fog and sleep disturbance. It can affect anyone, but the prevalence in women is much higher than men, and is severely debilitating in the majority of cases.

rTMS is suitable for patients who fulfil the ACR (American College of Rheumatology) criteria for fibromyalgia. This can be discussed with our team of expert Rheumatologists.

Joint hypermobility syndromes, including hypermobile Ehlers-Danlos Syndrome (hEDS)/ hypermobility spectrum disorder (HSD) are a group of heritable, non-auto immune connective tissue disorders. These can be asymptomatic, but in some cases, they can cause a wide-ranging set of symptoms, including pain for which this treatment may be beneficial.

How is it performed and what is involved?

The treatment will take place in a calm and comfortable environment, designed with potential neurodivergent sensory needs in mind. No clothing needs to be removed and the procedure does not require patients to be enclosed within a machine. Patients will lie on the treatment bed in a relaxed position, a small magnet will then be placed close to the right side of the head. rTMS is experienced as a gentle tapping sensation at the pace of a slow heartbeat and is completely painless.

The length of treatment sessions varies, but usually last around 20 – 30 minutes. A treatment plan typically consists of 20 sessions over 2-4 weeks. Our specialists at The London Clinic will be able to design and discuss bespoke treatment plans, which are undertaken in outpatient environment.

What are the risks?

Transcranial magnetic stimulation is considered to be a safe, non-invasive treatment. However, as with any procedure, there are still some risks to consider. These vary depending on the type and frequency of the procedure, but include:

  • Mild headaches
  • Short-term post-treatment fatigue

Our experts at The London Clinic will perform thorough risk assessments and will discuss these with patients considering transcranial magnetic stimulation.

How effective is it?

Own data at the London Clinic, collected by Clinical Lead Dr Stephanie Kaye-Barrett, suggests that 93%of our fibromyalgia patients experienced improvements in the areas of pain, fatigue, depression, anxiety and function. RTMS has provided the first effective non-drug treatment for fibromyalgia, and has been proven to significantly improve pain and other associated symptoms.

Frequently asked questions (FAQs)

People with epilepsy or metal implants in the brain cannot be treated rTMS, and we recommend speaking with your consultant to identify other modalities for you.

Our team will identify any other exclusions which may mean rTMS is not a suitable treatment option for you, In most cases, patients are eligible and benefit from rTMS treatment.

This treatment is not suitable for the treatment of depression within The London Clinic.

RTMS is usually painless, and the most common side-effects are mild headaches and short-term post-treatment fatigue. Both of these symptoms clear quickly. The safety profile of rTMS is excellent, and it is well tolerated by the vast majority of people.

Why choose The London Clinic?

Why choose The London Clinic?

Trusted for over 90 years, The London Clinic is an independent charitable hospital that reinvests into care, research, and support for those who can’t easily access private treatment.

The UK’s largest independent hospital

More patients choose The London Clinic than any other.

Top-rated by real patients

4.86/5 from over 1,600 reviews on Doctify and over 4.5 on Google.

Full intensive care on-site

World-class 13-bed ICU for expert support if your care becomes complex.

Investing in clinical excellence

Backed by Northwestern, we equip our teams with cutting-edge medical equipment.

0% Finance Options

We’ve teamed up with Chrysalis to offer you funding options that allow you to spread the cost of your treatment.

If you choose to pay for your treatment at The London Clinic over 12 months, you can make use of a great 0% interest option and pay nothing extra. Or you can choose to pay over two to five years at 14.9% APR.

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Trustees of the London Clinic Ltd trading as The London Clinic is an Appointed Representative of Chrysalis Finance Limited, which is authorised and regulated by the Financial Conduct Authority. The London Clinic is a credit broker, not a lender. The provider of a payment scheme which is not offered through or by Chrysalis Finance Limited may not be so authorised and regulated. Cancer treatments or transplants aren’t covered by finance packages. Finance options are only available for UK patients.